Casablanca Wellness Center Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1598971673 Issued in CA

Legal business name

CASABLANCA WELLNESS CENTER INC.

Practice address

12115 Paramount Blvd
Downey, CA 90242-2309

Phone

(562) 233-0708

NPI assigned

Nov 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Briseyda Valencia

Title

Officer

Phone

(562) 233-0708

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CASABLANCA WELLNESS CENTER Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1376888602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422309",
            "telephone_number": "562-233-0708",
            "fax_number": "562-741-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422309",
            "telephone_number": "562-233-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASABLANCA WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "BRISEYDA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "562-233-0708"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "1598971673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "DC 28844",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASABLANCA WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roosevelt Carroll
• Brittney Carter
• Mack Carter
• Marcus Dewayne Carter
• Yesenia Carvajal, RADT
• Nancy Casas
• Jennifer Francis Casillas, LCSW
• Maxine Casillas
• April Castaneda
• Brenda Denise Castaneda

• Health Maintenance Organization in Downey, CA
• Providers in Downey, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.